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121. Using a network organisational architecture to support the development of Learning Healthcare Systems. | PSNet
     psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
     December 02, 2014 - Study Using a network organisational architecture to support the development of Learning … Using a network organisational architecture to support the development of Learning Healthcare Systems … The National Academy of Sciences has advocated for a Learning Healthcare System in which patients are … This study describes the development and implementation of a network organizational model for learning … Using a network organisational architecture to support the development of Learning Healthcare Systems

122. Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. | PSNet
     psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
     May 24, 2016 - Book/Report Organizational Learning from Experience in High-Hazard Industries: Problem … Citation Text: Organizational Learning from Experience in High-Hazard Industries: Problem Investigations … This paper confronts two central issues for organizational learning from the prism of the chemical and … July 8, 2016 Work Design Drivers of Organizational Learning about Operational Failures … May 24, 2016 Learning from Disasters: A Management Approach. Third ed.

123. The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. | PSNet
     psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
     May 12, 2010 - Classic The Fifth Discipline: The Art & Practice of The Learning … Citation Text: The Fifth Discipline: The Art & Practice of The Learning Organization.  … Senge’s seminal and oft-referenced book outlines five competencies that support a learning organization … : systems thinking, personal mastery, mental models, building shared vision, and team learning. … November 5, 2015 Learning from Disasters: A Management Approach. Third ed.

124. Driving Learning and Improvement After RCA2 Event Reviews. | PSNet
     psnet.ahrq.gov/issue/driving-learning-and-improvement-after-rca2-event-reviews
     April 06, 2022 - Meeting/Conference Proceedings Driving Learning and Improvement After RCA2 Event … Citation Text: Driving Learning and Improvement After RCA2 Event Reviews. … Copy URL Cite Citation Citation Text: Driving Learning … and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning

125. The science of safety improvement: learning while doing. | PSNet
     psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
     August 04, 2021 - Commentary The science of safety improvement: learning while doing. … The science of safety improvement: learning while doing. … The science of safety improvement: learning while doing. … November 30, 2016 A collaborative learning network approach to improvement: the CUSP … learning network.

126. Using learning communities to support adoption of health care innovations. | PSNet
     psnet.ahrq.gov/issue/using-learning-communities-support-adoption-health-care-innovations
     March 15, 2017 - Commentary Using learning communities to support adoption of health care innovations … Using Learning Communities to Support Adoption of Health Care Innovations. … The learning communities focused on patient-centered care, improving medication therapy for distinct … Using Learning Communities to Support Adoption of Health Care Innovations. … May 30, 2018 An organizational learning framework for patient safety.

127. An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. | PSNet
     psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
     June 12, 2013 - Classic An Organisation with a Memory: Report of an Expert Group on Learning … Citation Text: An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events … Copy Citation Related Resources From the Same Author(s) Learning how to learn … June 12, 2013 A Safer Place for Patients: Learning to Improve Patient Safety. … June 17, 2014 Learning how to learn: compliance with patient safety alerts in the NHS

128. IDEA4PS: the development of a research-oriented learning healthcare system. | PSNet
     psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system
     April 24, 2018 - Commentary IDEA4PS: the development of a research-oriented learning healthcare system … IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. … Collaborating to implement rapid-cycle learning is a strategy to design and sustain patient safety … IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. … May 30, 2018 A learning health care system using computer-aided diagnosis.

129. Agent of change. | PSNet
     psnet.ahrq.gov/issue/agent-change
     September 01, 2021 - Chief Learning Officer. July/August 2018;17:22-25. … Chief Learning Officer. July/August 2018;17:22-25. … Organizational learning is an essential element of safety culture. … Chief Learning Officer. July/August 2018;17:22-25. … May 30, 2018 A learning health care system using computer-aided diagnosis.

130. Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. | PSNet
     psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-review-and-investigate-deaths
     January 23, 2019 - Book/Report Learning, Candour and Accountability. … Citation Text: Learning, Candour and Accountability. … Linkedin Copy URL Cite Citation Citation Text: Learning … January 12, 2022 Listening, Learning, Responding to Concerns. … November 7, 2018 Learning from Investigations.

131. The relationship between organizational leadership for safety and learning from patient safety events. | PSNet
     psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events
     November 27, 2009 - Study The relationship between organizational leadership for safety and learning … The relationship between organizational leadership for safety and learning from patient safety events … This Canadian study sought to quantify the relationship between leadership and organizational learning … The relationship between organizational leadership for safety and learning from patient safety events … : development of a multilevel model of learning and propositions.

132. Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet
     psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
     August 14, 2014 - Study Implementing an interprofessional patient safety learning initiative: insights … Implementing an interprofessional patient safety learning initiative: insights from participants, project … Implementing an interprofessional patient safety learning initiative: insights from participants, project … August 14, 2014 On the ball: leadership for patient safety and learning in critical care … April 19, 2023 Learning from near misses: from quick fixes to closing off the Swiss-cheese

133. Establishing a global learning community for incident-reporting systems. | PSNet
     psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems
     May 24, 2012 - Commentary Establishing a global learning community for incident-reporting systems … Establishing a global learning community for incident-reporting systems. … Establishing a global learning community for incident-reporting systems. … October 7, 2020 The next step in learning from sentinel events in healthcare. … April 15, 2020 An organizational learning framework for patient safety.

134. Pharmacist work stress and learning from quality related events. | PSNet
     psnet.ahrq.gov/issue/pharmacist-work-stress-and-learning-quality-related-events
     January 07, 2016 - Study Pharmacist work stress and learning from quality related events. … Pharmacist work stress and learning from quality related events. … Pharmacist work stress and learning from quality related events. … January 7, 2016 Quality-related event learning in community pharmacies: manual versus … February 6, 2019 Developing a learning health system: insights from a qualitative process

135. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. | PSNet
     psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america
     July 08, 2016 - Classic Best Care at Lower Cost: The Path to Continuously Learning … Citation Text: Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. … Committee on the Learning Health Care System in America, Institute of Medicine. … Committee on the Learning Health Care System in America, Institute of Medicine. … Committee on the Learning Health Care System in America, Institute of Medicine.

136. The costs of developing, implementing, and operating a safety learning system in community practice. | PSNet
     psnet.ahrq.gov/issue/costs-developing-implementing-and-operating-safety-learning-system-community-practice
     March 21, 2012 - Study The costs of developing, implementing, and operating a safety learning system … The costs of developing, implementing, and operating a safety learning system in community practice. … This study estimated a cost of approximately CAD $260,000 over 4 years to develop and run a safety learning … The costs of developing, implementing, and operating a safety learning system in community practice. … September 20, 2011 Safety learning system development--incident reporting component for

137. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
     July 31, 2023 - clear direction on how learning systems are in line with that vision. … In terms of intraorganizational learning, or learning within a single facility or organization, there … The Patient Safety Learning System In a learning system , organizations use patient data, experience … Learning across organizations that encourage sharing, learning, and improvement is a foundation for the … of a learning system.

138. Patient safety: learning from the aviation industry. | PSNet
     psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry
     September 03, 2011 - Commentary Patient safety: learning from the aviation industry. … Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31. … Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31.

139. Toward learning from patient safety reporting systems. | PSNet
     psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
     January 02, 2017 - Study Toward learning from patient safety reporting systems. … Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. … Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15.

140. Learn Not Blame. | PSNet
     psnet.ahrq.gov/issue/learn-not-blame
     November 14, 2011 - campaign to shift response to errors from blame to an approach that embraces fairness , openness, learning